Question 8

A 54 year old man presents with shortness of breath and cough productive
of green sputum.He is diagnosed by the
general medical team with pneumonia and Pneumococcus is subsequently grown from
blood cultures taken on admission.On
admission his PT is noticed to be deranged and he is not on any anticoagulants.He is treated with antibiotics and his chest
infection improves.However, his PT
remains abnormal and you are asked to advise prior to discharge.

You review the patient on the ward and discover he has a history of
excessive bleeding following a dental extraction but has not had any other
significant haemostatic challenges.